How To Use HCPCS Code G9448
HCPCS code G9448 describes patients who were born in the years 1945 to 1965. This code is used to identify a specific group of individuals who fall within this age range and may require certain medical services or screenings. In this article, we will explore the details of HCPCS code G9448, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.
1. What is HCPCS G9448?
HCPCS code G9448 is a specific code used to identify patients who were born in the years 1945 to 1965. It helps healthcare providers and medical coders to categorize and track individuals within this age range for various purposes, such as screening and preventive care.
2. Official Description
The official description of HCPCS code G9448 is “Patients who were born in the years 1945 to 1965.” The short description for this code is “Born 1945-1965.”
3. Procedure
- There is no specific procedure associated with HCPCS code G9448. It is used primarily for identification and categorization purposes.
4. When to use HCPCS code G9448
HCPCS code G9448 should be used when documenting and coding for patients who were born between the years 1945 and 1965. This code helps to identify individuals within this age range and may be used for various purposes, such as determining eligibility for certain screenings or preventive care services.
5. Billing Guidelines and Documentation Requirements
When billing for services or supplies related to HCPCS code G9448, healthcare providers should ensure that the patient’s date of birth falls within the specified range of 1945 to 1965. This information should be accurately documented in the patient’s medical record and included in the claim submission.
6. Historical Information and Code Maintenance
HCPCS code G9448 was added to the Healthcare Common Procedure Coding System on January 1, 2015. It has an effective date of January 1, 2022. As of December 31, 2021, this code has been terminated and is no longer in use. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.
7. Medicare and Insurance Coverage
Medicare and other insurance providers may have specific coverage policies and guidelines regarding HCPCS code G9448. It is important to consult the respective payer’s guidelines to determine if this code is payable and what reimbursement may be provided. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. The multiple pricing indicator code is 9, indicating that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.
8. Examples
Here are five examples of when HCPCS code G9448 should be billed:
- A patient born in 1952 visits their primary care physician for a routine check-up. The physician includes HCPCS code G9448 in the claim to indicate the patient’s birth year falls within the specified range.
- An individual born in 1947 undergoes a screening colonoscopy. The facility performing the procedure includes HCPCS code G9448 on the claim to identify the patient’s age group.
- A healthcare provider offers a targeted health promotion program specifically for individuals born between 1945 and 1965. When billing for the program, HCPCS code G9448 is included to indicate the eligible patient population.
- A laboratory performs a hepatitis C screening test for a patient born in 1958. HCPCS code G9448 is included on the claim to indicate the patient’s birth year falls within the specified range.
- A healthcare facility conducts a community outreach program to raise awareness about age-related health screenings for individuals born between 1945 and 1965. When billing for the program expenses, HCPCS code G9448 is included to indicate the target population.
